HomeMy WebLinkAboutPermit Electrical 1991-9-26
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number
OFFICE: 726-3759
1. xo.CATION OF \;r.~;t(\LIJl.TIOj
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~OB )l1:S,CRIPTION '.JL.
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTA~LT ON ONLY
Electrical Contracto \ ~:)
Addresl .Pn ~ ~
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City t:h\~ 0\\c Phone\f2..\O~l~q?
Supervisor License Number ~?f''I'lS
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3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Multi-Family per dwelliog unit.
Service Included:
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
~p "r,4-Installation, Alteratioos or
~ J Relocation:
Expiration Date
Constr Contr. Number :::l3\fl \
Expiration Date
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200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocatioo
Signature of Supervising Electrician
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I ~ owner~ Na~e \U\QC\llr\ ~,QtiJw? D.
~iAddress 2)\S(\ 'N\(l )..x\ 3: ) .CJ
'" Ci ty ~r1, Phone\l\nr"\~~
O\INER INSTALLATION lZ b- '65 \5
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 1I:
RECEIVED BY:
Cl-z-iP-ql
2./ It 24
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit \
Each Additiooal
Circuit or with Service
or Feeder Permit \
:?6
$ 35.00
$ 2. 00 Z-
E. Miscellaneous (Service/feeder oot included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
,Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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